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Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
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Acute ischemia as a complication by transoesophageal echocardiography

E Sovova1, D Marek, J Lukl

  • 1Ist. Internal Medicine Department, University Hospital Olomouc, I.P. Pavlova 6, 775 20 Olomouc, Czech Republic. eliska.sovova@fnol.cz

European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology
|May 17, 2005
PubMed

Insights

Transesophageal echocardiography (TEE) is generally safe, but can rarely cause acute coronary ischemia. This case highlights a potential stress-induced complication in patients with severe coronary artery disease.

Area of Science:

  • Cardiology
  • Medical Procedures

Background:

  • Transesophageal echocardiography (TEE) is an established diagnostic tool.
  • TEE is considered a safe procedure with a low incidence of complications.

Observation:

  • A patient with severe coronary artery stenosis underwent TEE.
  • The patient developed acute anterior wall myocardial ischemia during the procedure.

Findings:

  • The observed ischemia is a rare complication of TEE.
  • Potential mechanism involves procedural stress exacerbating underlying coronary artery disease.

Implications:

  • Clinicians should be aware of cardiac complications associated with TEE.
  • Risk stratification may be necessary for patients with severe coronary artery disease undergoing TEE.

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